| NPI | 1982147526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126846) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 000226675) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2023-08-10 |